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New Hampshire rates for HCPCS 42215

Palatoplasty Cleft Palate Major Revj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $2,511.32 / $5,229.63
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$685.80 / $756.94 / $892.95
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,769.10 / $5,299.00 / $8,600.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$688.98 / $1,235.90 / $1,977.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,906.58 / $3,906.58 / $4,043.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$715.89 / $1,254.93 / $1,953.26
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$788.74 / $1,364.36 / $2,434.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$972.00 / $4,574.00 / $11,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$822.10 / $1,253.95 / $2,622.72
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$569.55 / $683.47 / $1,078.75